Latar belakang: Laboratorium Badan Penelitian dan Pengembangan Kesehatan (Balitbangkes) ditunjuk sebagai laboratorium rujukan nasional dalam mendeteksi penyakit infeksi Emerging (EID) dan bertugas dalam mendeteksi pathogen infeksius serta berperan penting dalam sistem penanggulangan wabah. Laboratorium Balitbangkes harus menerapkan sistem manajemen biorisiko untuk mencegah terjadinya penyebaran penyakit yang bersumber dari laboratorium. Penerapan manajemen biorisk laboratorium yang terdiri dari biosafety dan biosecurity bertujuan untuk melindungi pekerja, lingkungan dan produk atau agen biologi. Penelitian ini bertujuan untuk menemukan kesenjangan terkait penerapan manajemen biorisk di Laboratorium Balitbangkes dengan standar. Metode: Studi dilakukan oleh Asesor professional pada tahun 2015 dengan mewawancara penanggung jawabLaboratorium BSL-3 (PJ BSL-3) dan Biosafety Officer (BSO) serta pemeriksaan dokumen. Pemilihan respondenberdasarkan jabatannya di laboratorium. Responden dipilih karena sebagai pelaksana teknis dan memilikiinformasi pelaksanaan biosafety dan biosecurity yang mendalam di laboratorium Balitbangkes. Pertanyaandiadopsi berdasarkan CWA 15793: 2011, berisi 160 pertanyaan dari 16 elemen. Analisis skor diinterpretasikanantara 0-2. Skor 0 memenuhi kesesuaian dengan standar dan skor 2 berarti tidak memenuhi standar. Hasil: Studi ini menunjukan 3 dari 16 elemen, memiliki kesesuaian penuh dengan standar yaitu teknik mikrobiologi yang baik, alat pelindung diri serta peralatan dan pemeliharaan alat laboratorium. Elemen yang memiliki kesenjangan paling tinggi adalah keamanan dengan skor 1.16. Tidak ada elemen yang dinilai tidak memenuhi kesesuaian standar atau skor2. Kesimpulan: Secara keseluruhan, Laboratorium Balitbangkes memiliki sistem manajemen biorisiko yang kuatdan sudah mapan disetiap elemen. Namun, tindakan perbaikan harus segera dilakukan di beberapa elemen untuk memenuhi standard CWA 15793:2011. (Health Science Journal of Indonesia 2018;9(2):70-5) Kata kunci: EID Laboratory, biorisk management, laboratory assessment, CWA15793 Abstract Background: NIHRD laboratory was appointed as a national referral laboratory to perform laboratory detectionfor emerging infectious disease (EID). Because of its important role, NIHRD laboratory must implement bioriskmanagement system. A reliable high containment laboratory is crucial to perform laboratory diagnosis forEIDs and to avoid further spread of EIDs. The protection of laboratory workers, environment, and biologicalagents is achieved by addressing laboratory biorisk management consist of laboratory biosafety and biosecurity measures. This study aims to find gaps related the implementation of biorisk management with standard. Methods: This study was carried out by Professional Assessor in 2015 by conducting document checking andinterviewing BSL-3 Technical Managers and BSO who were considered to have in-depth information regardingbiosafety and biosecurity activities in NIHRD laboratory. Questionnaire developed based on CWA 15793:2011,which contain 160 questions provided from 16 elements of the standard. Analysis of the scores was interpretedbetween ranges of 0-2. Score 0 means full conformity and score 2 means doesn’t meet the required standard. Results: The study showed that only 3 out of 16 elements have full conformity with the standard. Theywere good microbiological technique, clothing and personal protective equipment, laboratory equipmentand maintenance. The highest gap was in security elements with the score: 1.16. No elements has a noncompliance with the standard or score 2. Conclusion: Overall the NIHRD laboratory has a strong biorisk management system already establishedwhich is working well in many areas. However, important action is needed in several elements in order tocomply with the standard. (Health Science Journal of Indonesia 2018;9(2):70-5) Keywords: EID Laboratory, biorisk management, laboratory assessment, CWA15793.
Anemia is a condition with abnormalities in the red blood cells where lack of iron intake was postulated to be the main factor causing anemia. Research on iron intake, therefore, in adolescent girls is essential, specifi cally in high anemia prevalence area. This study aimed to examine the eff ect of family socio-economic factors, anemia comprehension, and ten-highest iron foods consumed on iron intake. Observational study with cross sectional design was performed, applying iron consumption as dependent variable and parents’ education, employment, income and expenditure, along with ten-highest high-iron foods consumed and knowledge about anemia as independent variables. Iron intake was collected using 3 x 24-hours food recall, and ten-highest iron-rich foods consumed was obtained with 2 x food frequency questionnaire. Family socio-economic factors (education, employment, income and expenditure) and knowledge on anemia were assessed using standard questionnaire with closed-ended interview question. The study highlighted that the average iron intake was 8.11 ± 2.94 mg/day (ranging from 3.01 to 20.43 mg/day). Obtained data showed that the occupation of father played a role in the iron intake diff erence (6.20 ± 1.72 vs 8.40 ± 2.99 mg/day for formal and informal, p <0.05). However, no diff erences were found between iron intake and education of fathers and mothers, maternal occupation, income, and expenses. Ten-highest iron-rich foods consumed did not signifi cantly correlate to the amount of iron consumption (p > 0.05). Moreover, this study in adolescent girls found that there was a negative correlation between knowledge about anemia and iron intake (r= -0.259, p <0.05). In conclusion, respondents consumed around 8 mg of iron, in average, lower than Recommended Dietary Allowance. Less amount of iron intake might be caused by scarce of high-iron sources consumption
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